352 episodes
Ep 351: Endometriosis and IVF: When to Transfer, Suppress, or Use a Gestational Carrier
10/11/2026 | 42 mins.Endometriosis, adenomyosis, Lupron, and gestational carriers can make fertility decisions feel complicated. In this episode of Fertility Docs Uncensored, Dr. Susan Hudson from Texas Fertility Center and Dr. Carrie Bedient from The Fertility Center of Las Vegas unpack questions about suppression before embryo transfer, testing, and when a gestational carrier might be worth considering. They discuss how adenomyosis differs from endometriosis, what BCL6 and Receptiva testing may tell you, and how factors like donor eggs or sperm, tubal damage, ovarian reserve, and timing can shape the path forward. The docs clarify how temporary Lupron suppression for fertility treatment differs from long-term treatment, and why surgery isn’t always the next step. If you’re deciding between testing, suppression, another transfer, or a different approach, this candid conversation on The Fertility Docs Uncensored offers a helpful framework for your next discussion with your care team.- Short cycles do not automatically mean your fertility is in trouble. In this episode, Dr. Carrie Bedient of the Fertility Center of Las Vegas and Dr. Susan Hudson of Texas Fertility Center unpack what a 19- to 20-day cycle may mean, when it’s worth investigating, and why your personal pattern matters. A listener’s question about short cycles, anemia, birth control, and egg supply leads to a practical conversation about cycle length versus bleeding days, changes after pregnancy, and the difference between ovarian reserve and egg quality. The Docs also explain how thyroid issues, prolactin, breastfeeding, stress, and ovarian aging can affect cycle regularity. They address a common worry head-on: Do frequent periods mean you’re using up your eggs faster or heading into early perimenopause? Get a clear, nuanced perspective on when a short cycle may simply be your normal—and when it’s time to talk with a clinician.
- How does a man’s age affect fertility and the health of a future child? And what should prospective parents actually know about the genetic risks associated with paternal age? In this episode of Fertility Docs Uncensored, Dr. Carrie Bedient and Dr. Susan Hudson are joined by genetic counselor Maria Katz for an honest, informative conversation about paternal age, fertility, and genetics. They break down what happens to sperm as men get older, how age-related genetic changes can affect reproductive outcomes, and how paternal age risks compare with the more familiar risks associated with maternal age. From de novo mutations and embryo screening to sperm freezing and future research, this episode separates the science from the fear and gives listeners practical information to consider when planning a family.
- Questioning when to use donor eggs? In this episode of Fertility Docs Uncensored, Dr. Susan Hudson from Texas Fertility Center and Dr. Carrie Bedient from The Fertility Center of Las Vegas explore when donor eggs may be worth considering. This week's listener question focuses on fibroids, sperm motility, and fertility treatment at age 39, including how fibroid location can affect treatment, when IVF or embryo banking may make sense. The Docs tackle the differences between known and de-identified donors and fresh and frozen egg cycles. They also explain how age, ovarian reserve, genetic conditions, previous treatment outcomes, cost, and family goals can factor into the decision. The conversation includes the emotional side of donor conception, including counseling and disclosure to future children. Listen in for the easily accessible conversation surrounding one of the most emotional decisions in fertility.
- In this episode of Fertility Docs Uncensored, Dr. Susan Hudson of Texas Fertility Center and Dr. Carrie Bedient of Fertility Center of Las Vegas answer listener questions about miscarriage and pregnancy loss, including IVF medication, subchorionic hematomas, recurrent loss testing, and what to consider before another transfer. They share evidence-informed perspectives and acknowledge the emotional weight of loss, while reminding listeners that care should be personalized with their own physician. Listen in for expert advice and opinions on questions about one of the most traumatic diagnoses women experience in their reproductive years, and how a "normal" embryo can still result in pregnancy loss.
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About Fertility Docs Uncensored
We all know it’s wrong, but when you see one big fat negative after another, it’s tempting to turn to Dr. Google for answers. But don’t you hit that search button. You have another option: Fertility Docs Uncensored. The nation’s leading fertility doctors have joined forces to separate fertility fact from fiction. It’s the only place you can hear fertility docs from around the country diving into the nitty-gritty of infertility. From their personal experiences as infertility patients, to what you can really expect from IVF, these doctors are covering it all (and they aren’t holding back).
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